Care Coordination in Oncology Clinical Trial
Official title:
Pilot Observational and Analytic Study of Practices and Organizations Related to Emerging Occupations of Care Coordination in Oncology: Modeling the Concept of Care Coordination in Oncology (EPOCK)
Several stakeholders are implied in cancer care pathways and there is a need for coordinating their actions. New occupations of care coordination have thus emerged. However, the conditions of their efficiency have been too few reported and included discrepancies between reports. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations (nurse-based) by comparing theoretical expected outcomes to professionals, patients and caregivers representations.
Several stakeholders are implied in cancer care pathways and there is a need to coordinate
their actions. New occupations of care coordination have thus emerged, such as nurse
coordinator in France (IDEC: Infirmière de Coordination). However, the conditions of their
efficiency are not well known. Moreover, several other complementary approaches and nurse
occupations have to be identified because of their contribution to care coordination (IDE
TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD, IDE ETP)*. Finally, all together, these interventions
of care coordination appeared as complex and asked for a theoretical model. Because of this
high variability of the practices, without an underlying model, the impact of care
coordination on patient quality of life, safety and efficiency of care is difficult to
assess. In this context, the main objective is to propose a modeling of care coordination and
associated emerging occupations by comparing theoretical expected outcomes to professionals,
patients and caregivers representations.
The pilot observational study is based on three distinct stages: (1) the definition of care
coordination in oncology using a literature review and a Delphi consensus study; (2) the
description of practices, contexts, perceptions and attitudes related to care coordination
occupations in oncology using a qualitative and a cross-sectional quantitative survey; (3)
the comparison of the practices to the theoretical model to propose a modeling of care
coordination occupations in oncology.
;